992 (44 USC 21
e (13

AGENCY

RECORD NUMBER
RECORDS SERIES
AGENCY FILE NUMBER

ORIGINATOR
FROM

TO

TITLE

DATE

PAGES
SUBJECTS

DOCUMENT TYPE
CLASSIFICATION
RESTRICTIONS
CURRENT STATUS

DATE OF LAST REVIEW
OPENING CRITERIA
COMMENTS

NW.60613 Docld:34530125 Page 1

Date
Page

JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM

AGENCY INFORMATION

CSF /INSCOM
194-10006-10180

DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS.

PAGE 639
DOCUMENT INFORMATION

USA
NICHOLS, W H

[ RESTRICTED ]
01/09/67

2 .

SCHEER, ROBERT

RESIDENCES

EMPLOYMENT

CIVILIAN SCHOOL

US ARMY REQUEST FOR NATIONAL AGENCY CHECK
PAPER, TEXTUAL DOCUMENT

QU OMASSTETED

RELEASED WITH DELETIONS
03/07/95

08/24/98

1

US ARMY REQUEST Fx NANO * oF ao
(Agee) Pony EE

= ——————
[3. LAST NAME) FIRST NAME ena) NAME - ALI 7 tiah ams i Aci f nf

SCHEER, Robert
5. DAY, MONTH. VEAR OF BINTH 6. PLAGE OF BIRTH 1) SERVICE NUMBER
. =
OBGAK, Mew York, Saw York

8. RELATIVE'S NAMES . to. PRESENT ADDRESS
Jo. FATHER

Ceccaced

b. MOTHER {maiden name) 2640 frons Pork East
2628 ic Street
_Cerkel felifernta

¢.NUMBER AND STREET d. city e@. STATE
G53 Grftton Streat, Gronx flew York | tas York
Syrocusa &.Y.Earried Student Sys. cuss tga Yore
Cerielsy Celife
San Froneisco
San francianc

13. EMPLOYMENT (List all from 16th birthday or during last 15 years, whichever is shorter}
b.to | c. EMPLOYER d. PLACE
University cf California
Ses 63 City Lights cocketore -.
Ranpert's Segazines$.fe

REQUEST COPY OF RESULTS OF ANY

INVESTIGASTONVCGNBUCGHD TO Date
- FROM b. to Cc. NAME
Sop 69 | Jun 63 Univeralty of Californie ain, urn a
a. A

yes NO 15. ITEM ("'Yes" answers are expanded in Remarks)
. ’
j : x 1S THE SUBJECT AN ALIEN OR A NATURALIZED CITIZEN OF THE UNITED STATES?
: a ?
: 1 x . ANY FOREIGN CONNEGTIONS, INTERESTS. EMPLOYMENT OR MILITARY SERVICE?
: 4 . ANY FOREIGN TRAVEL © THER THAN FOR THE UNITED STATES GOVERNMENT?
| - ANY ARREST OR COURT RECORD?

since SUBJECT refused to execute fingerprint

card. ee

.

NACC: Request check of  FBI(C)-Nane check only

Yhalisnd = te
Feb 2985 | fa'tar' 1506 ~ ~ Vietnam, Combedie, TeSland & Japan = To write

_— M CONTROL EG aed “Pron BCSPESTopera tioned 39S.
1 16 067 gg
DATA FURNISHED UNABLE 10 LOCATE Fort Holabird, Maryland 21219
ON BASIS scoRD IN. FRE IDENTIFICATION DVISION Foe Zia Leth fAY
ARREST R 6305 6016 alot JAN 9 1 1967
-
aed ‘pal
,\ IA Tr SODT REPLACES DA FORM 380, | DEC 98. WHICH Sone are, eon RS

NW 60613 Docid:34530125 Page 2

"2 US ARMY REQUEST F-. 2 NATIO a
faprey | FD
=
Vis, LAST NAME) FIRST NAME - (eid) NAME - ALIABYSS uns AMES] ci} NB Bri Ay a SOCIAL SELUMITY tO. ‘

SCHEER, fRahert as d a 2
| WS. DAY. MONTH. YEAR OF BIRTH ~_ [6 PLACE ho ) 7 SERVICE NUMBER
. —
2 s OPS, Hee York, tae York

8. RELATIVE'S NAMES 9. DATE AND PLACE OF BIRTH 10, PRESENT ADDRESS 11. CITIZENSHI

a. FATHER

) Fred Scheor Ceceased US
b. “Tae {maiden name) . 2659 frome Pork Esot
; Kuren fusasios sae rt ‘ei fuzaien
: u aa Giro

¢.NUMBER AND STREET . e.sTaTe ff
G53 Eeition Street, Bros Soy aT Cana Yorks |
Syscouce Wo¥ Carried Student Housing Uyc. us tas Yor
Fronoieces Straut beried: Celife |
2157 Geson Streot
444 Colushus Strest
£32 _testro St. & 2670 G

13. EMPLOYMENT (List all from 16th birthday or during Tost 15 years, whichever is shorter)
b.TO | C.EMPLOYER | d. PLACE

Univeraity ef Califernte Berkeloy, Califarnia
City Lights Soskatore «.. Son Foeanntena, Collfe

INVESTIGASHON
Univeralty of Californis

15. ITEM ("Yes" answers are expanded in Remarks)

. 1S THE SUBJECT AN ALIEN OR A NATURALIZED CITIZEN OF THE UNITED STATES?

. ANY FOREIGN CONNEETIONS. INTERESTS. EMPLOYMENT OR MILITARY SERVICE?

—.——
. ANY FOREIGN TRAVEL OTHER THAN FOR THE UNITED STATES GOVERNMENT?

| ANY QUALIFICATION OF DD FORM 398 OR OD FORM 98?

. ANY ARREST OR COURT RECORD?

be mpyanas “Ui aoob aie e yee es Geecamt 2028 Etivie Strecty C3201 yp Delete rh 4
» STE 2D ce Fe iso te Sop 1968 = tbe © Ta scra to crite 7 Is
Jan £553 to far 1585 < England, France, Palend,tungazy ySovient Union ":
Crechcalevie = Ta write
Fen IS35 te Bar 1965 = Vietnam, Cambodia, Indensaia, Iapun, Lovs &
; Thalicrd @ To arite
; fad 1680 tq fax 4905 ~ Vietnam, Combadie, Theiisnd & Jeoun ~ @ To exits
ay NCE USE me SCSTHSTOLAN ton IIS.
Headquarters, USAINTC
ATTN: ICOP-III-24
Fort Holabird, Maryland 21219

19 THRU: Keeteede { .7
Rg 6305 bons aSpleetl IAN. 2 1 1967

Hed, chosing

TIA RE 3027 eee eee EE for sen Cresing Oran Rue 4

1 AUG 65

17. CONTROL OFFICE USE

N16 19676 wut
BLE 10 U
ATA FURNISHED UNA
on cond IN. EBL IDENTIFICATION DIVISION

NW 60613 Docid:34530125 Page 3

